She Strengthens

Understanding Contractions: Separating Fact from Fiction

As your due date approaches, it’s natural to wonder what those strange sensations in your belly mean. Are you experiencing Braxton-Hicks contractions, or is it the real deal? Knowing the difference between these two types of contractions can help you navigate the final stages of pregnancy with confidence.

The Rehearsal: Braxton-Hicks Contractions

Think of Braxton-Hicks contractions as your body’s way of preparing for the big event. These false labor pains can start as early as six weeks into gestation, but they usually become more noticeable in the third trimester. They tend to occur sporadically, often in the afternoon and evening, or after a physically demanding day. While they may feel uncomfortable, Braxton-Hicks contractions are generally not painful and won’t lead to labor.

Identifying Braxton-Hicks Contractions

If you’re experiencing contractions that:

• Stop when you change positions or use the restroom
• Don’t increase in intensity or frequency
• Come and go without a pattern

it’s likely Braxton-Hicks.

The Main Event: Real Labor Contractions

Real labor contractions, on the other hand, are a sign that your body is ready to deliver your baby. They’re triggered by the hormone oxytocin, which causes your uterus to contract and push your baby into the birth canal. This sensation is often felt in waves, with the pain starting low in the abdomen and rising up as the muscles contract.

Recognizing Real Labor Contractions

If you’re experiencing contractions that:

• Are accompanied by your water breaking
• Cause a pinkish/bloody mucus clump (known as “bloody show”) when you go to the bathroom
• Make you feel like the baby has dropped lower in your belly

it may be time to get ready for labor.

What to Do If You’re Having Contractions

If your contractions lack consistency, it’s likely Braxton-Hicks. Try shifting positions or using the restroom to see if they subside. If they become more regular or intense, it’s time to pay attention. Time your contractions for about an hour to monitor their frequency and intensity. When the time between contractions is around 5-6 minutes apart, it’s time to head to the hospital or your planned delivery location.

When to Contact Your Healthcare Provider

If you suspect you’re experiencing real labor contractions, it’s best to contact your healthcare provider. You should also reach out if your water has broken or your contractions are extremely painful. If you’re unsure what type of contractions you’re experiencing, don’t hesitate to make a quick call or visit your care provider.

The Bottom Line

Braxton-Hicks contractions are a normal part of pregnancy, preparing your body for the real thing. Real labor contractions, on the other hand, are a sign that your body is ready to deliver your baby. By understanding the difference between these two types of contractions, you can navigate the final stages of pregnancy with confidence and prepare for the arrival of your little one.